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Tytuł:
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Acceptability and feasibility of using digital vending machines to deliver HIV self-tests to men who have sex with men.
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Autorzy:
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Vera JH; Department of Global Health and Infection, Brighton and Sussex Medical School, Brighton, UK .
Soni S; Department of Sexual Health and HIV, Brighton and Sussex University Hospitals Trust, Brighton, UK.
Pollard A; Division of Primary Care & Public Health, Brighton & Sussex Medical School, Brighton, UK.
Llewellyn C; Division of Primary Care & Public Health, Brighton & Sussex Medical School, Brighton, UK.
Peralta C; Design and Architecture, University of Brighton, Brighton, UK.
Rodriguez L; The Martin Fisher Foundation, Brighton, UK.
Dean G; Department of Sexual Health and HIV, Brighton and Sussex University Hospitals Trust, Brighton, UK.
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Źródło:
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Sexually transmitted infections [Sex Transm Infect] 2019 Dec; Vol. 95 (8), pp. 557-561. Date of Electronic Publication: 2019 May 17.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BMJ Pub. Group, c1998-
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MeSH Terms:
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Homosexuality, Male*
Diagnostic Tests, Routine/*methods
HIV Infections/*diagnosis
Health Services Accessibility/*statistics & numerical data
Patient Acceptance of Health Care/*statistics & numerical data
Self-Examination/*methods
Adolescent ; Adult ; Aged ; Cross-Sectional Studies ; Humans ; Male ; Middle Aged ; Young Adult
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Contributed Indexing:
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Keywords: HIV; HIV testing; gay men
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Entry Date(s):
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Date Created: 20190519 Date Completed: 20200211 Latest Revision: 20200211
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Update Code:
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20240104
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DOI:
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10.1136/sextrans-2018-053857
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PMID:
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31101723
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Objective: Technology-based approaches to distribute HIV self-tests (HIVST) have the potential to increase access to HIV testing in key populations. We evaluate the acceptability and feasibility of using vending machines (VMs) in a community setting to distribute HIVST to men who have sex with men at high-risk of HIV.
Methods: First, a predevelopment survey of targeted potential users explored attitudes towards HIVST and the use of a VM to deliver HIVST. Second, participatory design workshops between designers and community volunteers informed the production of a bespoke VMs dispensing free BioSureHIVST. Uptake of HIVST and user experiences were evaluated using information supplied directly from the machines interface (number of tests dispensed, user demographics), an online questionnaire and semistructured interviews.
Results: The predevelopment survey found that 32% of 232 sauna users had never tested for HIV, despite high-risk behaviours. A total of 265 testing kits were dispensed: mean age 31 range (18-70); 4%(n = 7) had never tested for HIV before and 11% (n = 22) had tested within the last 1-5 years. Uptake of tests was significantly higher via the VMs compared with outreach testing by community workers in the same venue during a comparable period (34 vs 6 tests per month). Qualitative interviews and online questionnaires demonstrated high acceptability for this intervention, which was considered accessible and appropriately targeted.
Conclusions: VMs to distribute HIVST was feasible and acceptable. This intervention could be used in different settings to improve access to HIV testing for key populations.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
